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JOB APPLICATION FORM Please complete this accurately, giving as many details as possible of your skills and experience relating to this job application. Shortlisting will be based on the information gathered from the form, read in conjunction with the person specification. Please ensure the finished form is printed out, signed, dated and returned by the closing date to the address given on the advert. We are unable to accept forms returned as email attachments without a signature. Please either type directly in this form using Microsoft Word or print out and complete the form in black ink and BLOCK CAPITALS. GUIDELINES Applicants will be treated in the same way whether they are external or internal candidates. Internal candidates should advise their manager that they have applied for another position. POSITION APPLIED FOR: Job title: Department/Region: Reference number: Where did you see this post advertised? 1. APPLICANT’S DETAILS Title: Surname: First name: Home address: POST CODE: Telephone nos: please include full STD code Home: Work : Mobile (where possible): email address (where possible): Do you hold a current driving Yes/No licence? Is there anything concerning your Yes*/No medical history or state of health *If you answer Yes please refer to the Equality of that is relevant to your application? Opportunity Questionnaire enclosed Are there any restrictions regarding Yes*/No your employment? *If you answer Yes please supply details on a separate e.g do you require a Work Permit? sheet of paper How much notice do you need to give to your current employer? 2. EMPLOYMENT RECORD Please start with your most recent employment. Briefly describe the main duties and responsibilities of your post. If you wish to expand on specific areas of responsibility, please do so in Section 5: Experience /skills. 1. Current/most recent employer/organisation Name: Address: Job Title: From: To: Brief description of duties: Reason for leaving/changing: 2. Employer/organisation Name: Address: Job Title: From: To: Brief description of duties: Reason for leaving/changing: 3. Employer/organisation Name: Address: Job Title: From: To: Brief description of duties: Reason for leaving/changing: 4. Employer/organisation Name: Address: Job Title: From: To: Brief description of duties: Reason for leaving/changing: 3. EDUCATION Please tell us about your education and any qualifications which you feel are relevant to the post. Include relevant courses which you are currently undertaking. Please start with the most recent. Name of school/college/ Subject studied Qualification/ Date university/training body Level gained 4. TRAINING Please list any training you have received or courses which did not lead to a qualification but which you feel are relevant to the advertised post. Training Course Date 5. EXPERIENCE / SKILLS This section is for you to give specific information in support of your application. Please set the information out on a maximum of three sides of A4 paper. After reading the Job Description and Person Specification carefully, consider to what extent you have gained the skills and experience necessary for the post. Your experience need not have been gained in paid employment and may include special interests relevant to the post. It is important that you provide evidence of your achievements by giving examples to support your application. You may wish to use the headings in the person specification in order to set the information out clearly. 6. REFERENCES Please give name, address and position/occupation of two referees. One must be your present or most recent employer. References will only be taken up for the successful candidate. Testimonials or references from friends and relatives are not acceptable. 1. Name: Position: Organisation: Address: Tel: 2. Name: Position: Organisation: Address: Tel: 7. CRIMINAL CONVICTIONS Do you have any criminal convictions? Yes No If Yes please give details on a separate sheet, this should exclude any spent convictions under Section 4(2) of the Rehabilitation of Offenders Act 1974. 8. DECLARATION AND SIGNATURE The information supplied in this application form is accurate to the best of my knowledge. ................................................................................................................... ................................................ Signed Date By signing and returning this application form you consent to UNISON using and keeping information about you provided by you – or third parties such as referees – relating to your application or future employment. This information will be used solely in the recruitment process and will be retained for six months from the date on which you are informed whether you have been invited to interview, or six months from the date of interview. Such information may include details relating to ethnic monitoring and disability: these will be used solely for internal monitoring and will not be disclosed to any third party. Thank you for completing the form. Please print your completed form and return - together with your completed Equality of Opportunity Questionnaire – to the address given on the advert.
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